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Supraceliac aortorenal bypass

R T Hagino¹, R J Valentine, G P Clagett

¹Division of Vascular Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9157, USA.

Journal of Vascular Surgery

|October 6, 1997

Summary

Supraceliac aortorenal bypass grafting offers a safe and durable solution for atherosclerotic renal artery disease. This procedure effectively revascularizes renal arteries when other options are unsuitable.

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Area of Science:

Vascular Surgery
Cardiovascular Disease
Interventional Cardiology

Background:

Atherosclerotic renal artery disease (ARAD) poses significant challenges for revascularization.
Diffuse infrarenal aortoiliac and visceral atherosclerosis often precludes standard bypass grafting techniques.

Purpose of the Study:

To evaluate the efficacy and long-term durability of supraceliac aortorenal bypass grafting.
To assess its safety as an alternative for renal artery revascularization in complex cases.

Main Methods:

Retrospective review of a single institution's 10-year experience.
Analysis of 27 supraceliac aortorenal bypass procedures in 17 patients with ARAD.
Utilized autologous vein grafts in 96% of cases.

Main Results:

No operative deaths or early graft occlusions were observed.
Five-year primary and assisted primary patency rates were 95% and 100%, respectively.
Significant improvements in blood pressure, reduced antihypertensive medications, and improved renal function were noted.

Conclusions:

Supraceliac aortorenal bypass grafting is a safe and durable option for renal artery revascularization.
This technique is recommended for patients with diffuse infrarenal aortoiliac and visceral occlusive disease requiring renal revascularization.

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